Goit onolysis of older

people qs crn indicqtor of

heolth slotus
Oana,Dr. Rez.SuciuAna Maria,
Dr. Rez.BALBUZAN
Dr. Rez.ColesniucConstantin,Dr. Rez.Fratianu Madalina,
Dr. Rez.Aftudor Oana
Conf. Dr. Stratulat Sorin Ioan
1. Faculty of Uedicine, University of Mediclne and Pharmacy 'Grigore T. Popa" Iasi, Romania
2. Clinic of Recovery Medlcine, Physical l{ediclne and Balneo-climatology, Cllnlc Hospital C.F. Iasi,
Romania
\
3, Atmospher Optics, Spectroscopy and Lasers Laboratory, Facul\ of Physics, "Alexandru loan
Cuza' University of lasl, Romania

4. centel fol AdvancedResearchin Bionanoconjugateand Biopolimers/Intel centru/

MacrcmolecularChemistryInstatut .Hru Poni' lasi, Romania

CHNRTER
PROJECT
STATEMENT:
OVERVIEW/
PROBLEM

PROIECT
SCOPE:

. ln literature it has been shown that

increasedgait analyzes movement it is
cruci alf or c once r n i n gn o r m a l h e a lth
status

. Co a l) lm o r o ve PVR/B Sdocumentati oni n E MR

. Plan-Do-Study-Act Cycle
. L o ca tio n ) Sp ita lu lClini c C F l asi
.De sig nIn te r ve n tio n

AIM STATEMENT:
. "to realise specific gates movements
programs in dif f e r e n t c l i n i c a ls i t u atio n s.'

,5MART:
X Specific X Measurable X Agreedupon
X Realistic X T i m ebound

TEAMMEMBERS
) Dr. Rez.BALBUZAN
Oana
> Dr. Rez.SuciuAnaMaria
> Dr. Rez.Colesniuc
Constantin
> Dr. Rez.FratianuMadalina
> Dr. Rez.AftudorOana
> Conf.Dr. StratulatSorinloan

. C oal ) l m pr ov e PVR /85

documentation in EMR
. Plan-Do-Study-Act

- Diagrama Fish Bone

'ln literature it has been
shown that increasdgait
analvzesmovement it i

Cycle
' Loc atl on) Spi tal ul
C l i ni c C F l as i
Design Interyention

Study
"to ralise specific Aates
movements programs in
clinical situation5."

. Measurable
. Agreed upon
. Realistic
. Time Bound

. Diagrama Fish Bone

- In literature it has been
shown that increased gail
analvzesmovement it ls
crucial for concerning
normal health status

. Goal) lmprove PVR/85

documentation in EMR
. Plan-Do-Study-Act
Cycle
. Location) Spitalul
C l i nl c C F l as i
. Design Intervention

Stu dy
"to realise specific Aates
movements programs in
clinical situations-'

. Measurable
'Agreed upon
' Realistic
. Time Bound

All rehabilitation
doctorshavethe unique
andbroadknowledge
Qualifications
to provideaccurateresearchbased
exerciseprescriptions
t To thos e wit h
di sabilit ies
t To healt hyind i v i d u a l s
who carrythe risk of
chronicdis ea s e s
r To those who are
healt hybut ina c t i v e .

ExercisesWhy?
Wellness
Healthmalntenance
Cardioprotection

Optlmummusculoskeletal
fitness
Cardiovascular
Injury trcatment

Weight loss
\
\

Physiatrist

ExerciseWhy?
A low level of physical activity can expose a person to
a greater risk of dying than even the risk of smoking ,

hypeftensionor obesity.
Exercisefor:
Wellness
Healthmaintenance
Cardioprotection
Weight loss
Injury protection
Optimummusculoskeletal
performance
Injury treatment
Other(TBI, SCI,Cancer)

Exercise: What is it?

.,*$;,
Exerciseis the systemic
pefformance or execution of
planned physicalmovements,
postures or activities intended to
enable a person to prevent
impairements,enhancefunction,
reduce risk and optimize overall
health, enhancefitness and well
being.
(gandy WD et alh Therdpeuticexercise2013)

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f,- ti,'
I

'*q'pF

b.P

.ildil

F*@
,*s\ .#
.#

ai;,i

Exercise Prescription
advice
* Physiatrist's
Motivationfor patient
* Directrecommendation
in the form of a prescription
Delivered
with the basicprinciples
* In accordance
of gxgrcise

physiology

(ft,i'ipsEHe,ar:pH

ExercisePrescription

Whatthe physiatristshouldknow
The system's ability to deliver Ozto active musclesand
determinants of 02 consumption
" The cardiovascularand metabolic effects
o Effects on psychological, cognitive functions
'. Objective measures of intensity
" Physiological effects, effects on geriatric patients
o Intensityr timing, freguency of sessions

Mediu

Metode

BasicPrinciplesin Exercise
VOr max : MaximalOzconsumption
(Biomarker
of health)
38 ml/kg/min-women
44 mllkglmin-man
CO(Cadiac Output): (Productof strokevolumeand heartrate)
Exercise 5 L/min 20-40L/min
ExerciseIntensity
* - Strokevolume
can riseto 40-60o/oof VOzmax
CaOz-CVOr:Arterial-VenousOzdifference
(Theabilityof activemusclesto extractOz
fromarterialblood)

Determinantsof 02 Consumption
VOz=CO
x (CaOz-CvOz)
Ficksequation
perdecade
Aerobiccapacitydecreases
10o/o
. Decreased
cardiacoutput(CO)
. Increasedperipheral
resistance
. Decreased
strokevolume

::r.q*,*;,

-a{effiI

PhysicalCapacityand Exercise

Increased power outPut

Increased aerobic caPacitY

I
Improvedcardiovascularhealth

Improvedfatigueresistance

ImprovedFunctionallndependence
*it,^

rmoroved ADL

---r:-) Balance,gait, locomotion

) Musclepeformance, endurance
D Postural control

t!

^-'it|F

t'.rn
F

Exerciseeffects on Physiopathology
General
lmpairements
Diseases
. Well-being
.
caPacitY
. Cardiovascular Aerobic
. Assertiveness
.
. Endocrine
Circulation
. Body mechanics . Confidence
. Metabolic
. Gognition
. Musculoskeletal . Gait
. Reducingrisk factors:
. Neuromuscular . Locomotion
. Joint IntegritY
. Pulmonary
- Obesity
. Muscleperformance
-o P
- Deconditioning
(BandvWDet at: ThoEpeulic exercise2013)

,R